舌三针配合颞三针治疗脑卒中后吞咽障碍的临床观察

Clinical Observation on Tongue Three-needle Combined with Temporal Three-needle in Patients with Dysphagia after Stroke

目的观察针刺舌三针结合颞三针治疗脑卒中后吞咽障碍的临床疗效。方法选取在深圳市南山区人民医院康复医学科住院的脑卒中后吞咽障碍患者60例,随机分为治疗组和对照组各30例。治疗组予以针刺舌三针配合颞三针治疗,对照组予以传统针刺治疗,两组均给予基本药物治疗和吞咽功能训练,疗程2周,观察治疗前后洼田饮水试验及功能性经口摄食量表的等级变化,对比临床疗效。结果治疗后两组间洼田饮水试验、功能性经口摄食量表分级比较,差异均有统计学意义(P<0.05);治疗组有效率93.33%,优于对照组73.34%(P<0.05)。结论在基本药物治疗和吞咽功能训练治疗基础上,综合运用舌三针结合颞三针治疗脑卒中后吞咽障碍患者,能提高疗效,值得推广应用。

Objective To observe the efficacy of tongue three-needle combined with temporal three-needle in patients with dysphagia after stroke. Methods A total of 60 cases of post-stroke dysphagia patients were selected in the rehabilitation medicine department of the Shenzhen Nanshan People's Hospital. The patients were randomly divided into the control group and the treatment group, with 30 cases in each group. The treatment group was applied with the tongue three-needle and temporal three-needle, while the control group was received the traditional acupuncture. The two groups were given the basic treatment combined with deglutition training, and the course of treatment was 2 weeks. The water swallow test and Functional Oral Intake Scale (FOIS) before and after treatment were observed. The clinical efficacy before and after the treatment was compared. Results After treatment, the water swallow test and FOIS in the two groups were statistically significant. The effective rate in the treatment group was 93.33%, which was better than 73.34% in the control group (P<0.05). Conclusion On the basis of the basic drug treatment and deglutition training, the tongue three-needle combined with temporal three-needle can improve the curative effect in treating patients with dysphagia after stroke, which is worthy of popularization and application in clinic.